| NPI | 1619042181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN SHERIDAN PORTER CEO 702-650-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV 307C) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NV 307C) |
| 103T00000X Psychologist (Licence: NV 307C) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |